AIR TREATMENT CORPORATION has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan AIR TREATMENT CORPORATION DENTAL PLAN
| Measure | Date | Value |
|---|
| 2021: AIR TREATMENT CORPORATION DENTAL PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-12-01 | 127 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-12-01 | 137 |
| Number of retired or separated participants receiving benefits | 2021-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-12-01 | 0 |
| Total of all active and inactive participants | 2021-12-01 | 137 |
| Number of employers contributing to the scheme | 2021-12-01 | 0 |
| 2020: AIR TREATMENT CORPORATION DENTAL PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-12-01 | 114 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-12-01 | 126 |
| Number of retired or separated participants receiving benefits | 2020-12-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2020-12-01 | 0 |
| Total of all active and inactive participants | 2020-12-01 | 127 |
| Number of employers contributing to the scheme | 2020-12-01 | 0 |
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 903529 |
| Policy instance | 1 |
| Insurance contract or identification number | 903529 | | Number of Individuals Covered | 27 | | Insurance policy start date | 2021-12-01 | | Insurance policy end date | 2022-11-30 | | Total amount of commissions paid to insurance broker | USD $707 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,067 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $707 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 903529 |
| Policy instance | 2 |
| Insurance contract or identification number | 903529 | | Number of Individuals Covered | 110 | | Insurance policy start date | 2021-12-01 | | Insurance policy end date | 2022-11-30 | | Total amount of commissions paid to insurance broker | USD $11,631 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $116,310 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,631 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 903529 |
| Policy instance | 1 |
| Insurance contract or identification number | 903529 | | Number of Individuals Covered | 23 | | Insurance policy start date | 2020-12-01 | | Insurance policy end date | 2021-11-30 | | Total amount of commissions paid to insurance broker | USD $658 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,576 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $658 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 903529 |
| Policy instance | 2 |
| Insurance contract or identification number | 903529 | | Number of Individuals Covered | 102 | | Insurance policy start date | 2020-12-01 | | Insurance policy end date | 2021-11-30 | | Total amount of commissions paid to insurance broker | USD $10,299 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $102,985 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,299 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
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